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HomeMy WebLinkAboutScott Fence; 2020-01-22; PKRC11261Tracking#: CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT SCOTT FENCE BEACH RESTROOM BLINDS; CONT. NO. PKRC11261 This agreement is made on the 'lJ..~~ day of Qo.V\l , 202,o., by the City of Carlsbad, California, a municipal corporation, (hereinafter called "Ci , and Scott Fence whose principal place of business is 1255 Distribution Way, Vista, CA 92081 (hereinafter called "Contractor"). City and Contractor agree as follows: DESCRIPTION OF WORK. Contractor shall perform all work specified in the Contract documents for the project described by these Contract Documents (hereinafter called "Project"). PROVISIONS OF LABOR AND MATERIALS. Contractor shall provide all labor, materials, tools, equipment, and personnel to perform the work specified by the Contract Documents unless excepted elsewhere in this Contract. CONTRACT DOCUMENTS. The Contract Documents consist of this Contract, exhibits to this Contract, Contractor's Proposal, the Plans and Specifications, the General Provisions, addendum(s) to said Plans and Specifications, and all proper amendments and changes made thereto in accordance with this Contract or the Plans and Specifications, all of which are incorporated herein by this reference. When in conflict, this Contract will supersede terms and conditions in the Contractor's proposal. LABOR. Contractor will employ only skilled workers and abide by all State laws and City of Carlsbad Ordinances governing labor. GUARANTEE. Contractor guarantees all labor and materials furnished and agrees to complete the Project in accordance with directions and subject to inspection approval and acceptance by: Morgan Rockdale (City Project Manager) WAGE RATES. The general prevailing rate of wages for each craft or type of worker needed to execute the Contract shall be those as determined by the Director of Industrial Relations pursuant to Sections 1770, 1773 and 1773.1 of the Labor Code. Pursuant to Section 1773.2 of the Labor Code, a current copy of the applicable wage rates is on file in the Office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all workers employed by him or her in execution of the Contract. Contractor shall be responsible for insuring compliance with provisions of section 1777.5 of the Labor Code and section 4100 et seq. of the Public Contracts Code, "Subletting and Subcontracting Fair Practices Act." The City Engineer is the City's "duly authorized officer" for the purposes of section 4107 and 4107.5. The provisions of Part 7, Chapter 1, of the Labor Code commencing with section 1720 shall apply to the Contract for work. A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, unless currently registered and qualified to perform public work pursuant to Section 1725. 5. This project is subject to compliance monitoring and enforcement by the Department of Industrial Relations. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. FALSE CLAIMS. Contractor hereby agrees that any contract claim submitted to the City must be asserted as part of the contract process as set forth in this agreement and not in anticipation of litigation or in conjunction with litigation. BEACH RESTROOM BLINDS; CONT. NO. PKRC11261 Page 1 of 6 City Attorney Approved 1/25/2019 Tracking#: Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of the information. The provisions of Carlsbad Municipal Code sections 3.32.025, 3.32.026, 3.32.027 and 3.32.028 pertaining to false claims are incorporated herein by reference. Contractor hereby acknowledges that the filing of a false claim may subject the Contractor to an administrative debarment proceeding wherein the contractor may be prevented from further bidding on public contracts for a period of up to five years and that debarment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor otubcontractor f~om Ja~ic1ling in contract bidding. Signature: _Jit-, IJ/tJJvfll'T Print Name: S'"l~L-SQ'u \~t\tT 5 C.01T REQUIRED INSURANCE. The successful contractor shall provide to the City of Carlsbad, a Certification of Commercial General Liability and Property Damage Insurance and a Certificate of Workers' Compensation Insurance indicating coverage in a form approved by the California Insurance Commission. The certificates shall indicate coverage during the period of the contract and must be furnished to the City prior to the start of work. The minimum limits of liability insurance are to be placed with California admitted insurers that have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California's List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best's Key Rating Guide of at least "A:X"; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. Commercial General Liability Insurance of Injuries including accidental death, to any one person in an amount not less than ........ $1,000,000 Subject to the same limit for each person on account of one accident in an amount not less than ....... $1,000,000 Property damage insurance in an amount of not less than ........ $1,000,000 Automobile Liability Insurance in the amount of $1,000,000 combined single limit per accident for bodily injury and property damage. In addition, the auto policy must cover any vehicle used in the performance of the contract, used onsite or offsite, whether owned, non-owned or hired, and whether scheduled or non- scheduled. The automobile insurance certificate must state the coverage is for "any auto" and cannot be limited in any manner. The above policies shall have non-cancellation clauses providing that thirty (30) days written notice shall be given to the City prior to such cancellation. The policies shall name the City of Carlsbad as an additional insured. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY. Workers' Compensation limits as required by the California Labor Code. Workers' Compensation will not be required if Contractor has no employees and provides, to City's satisfaction, a declaration stating this. INDEMNITY. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its officers and employees, from all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of the Contract or work; or from any failure or alleged failure of Contractor to comply with any applicable law, rules or regulations including those related to safety and health; and from any and all claims, loss, damages, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the BEACH RESTROOM BLINDS; CONT. NO. PKRC11261 Page 2 of 6 City Attorney Approved 1/25/2019 Tracking#: nature of the work covered by the Contract, except for loss or damage caused by the sole or active negligence or willful misconduct of the City. The expenses of defense include all costs and expenses including attorneys' fees for litigation, arbitration, or other dispute resolution method. JURISDICTION. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this agreement is San Diego County, California. Start Work: Contractor agrees to start within 15 working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within 45 working days after receipt of Notice to Proceed. CONTRACTOR'S INFORMATION. II II II II II II II Scott Fence (name of Contractor) 581918 (Contractor's license number) C-13and B, exp. date 11/30/2021 (license class. and exp. date) 1000002709 (DIR registration number) 06/30/2020 (DIR registration exp. date) BEACH RESTROOM BLINDS; CONT. NO. PKRC11261 Page 3 of 6 1255 Distribution Way (street address) Vista, CA 92081 (city/state/zip) 760-598-0070 (telephone no.) 760-598-0098 (fax no.) scottfencewefence@yahoo.com (e-mail address) City Attorney Approved 1/25/2019 Tracking#: AUTHORITY. The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Agreement. CONTRACTOR B1-Ad28Ad1 CITY OF CARLSBAD, a municipal corporation of the State of California By: (sign here) Assi t ity Manager, Deputy City Manager or Department Director s 71t-so~"1 ~"'!rn~~.; s C..OTT /C>'inef... as authorized by the City Manager By: (sign here) (print name/title) BARBARA ENGL SON City Clerk If required by City, proper notarial acknowledgment of execution by Contractor must be attached . .!f..E_ corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Chairman, President, or Vice-President Group B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: BY: ___ _.._-""-_ ____....__----')f--- ~eistent City Attorney ~~ BEACH RESTROOM BLINDS; CONT. NO. PKRC11261 Page 4 of 6 City Attorney Approved 1/25/2019 Tracking#: EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR Set forth below is the full name and location of the place of business of each sub-contractor whom the Contractor proposes to subcontract portions of the Project in excess of one-half of one percent of the total bid, and the portion of the Project which will be done by each sub-contractor for each subcontract. NOTE: The Contractor understands that if it fails to specify a sub-contractor for any portion of the Project to be performed under the contract in excess of one-half of one percent of the bid, the contractor shall be deemed to have agreed to perform such portion, and that the Contractor shall not be permitted to sublet or subcontract that portion of the work, except in cases of public emergency or necessity, and then only after a finding, reduced in writing as a public record of the Awarding Authority, setting forth the facts constituting the emergency or necessity in accordance with the provisions of the Subletting and Subcontracting Fair Practices Act (Section 4100 et seq. of the California Public Contract Code). If no subcontractors are to be employed on the project, enter the word "NONE." SUBCONTRACTORS Portion of Project to Business Name and Address be Subcontracted Norrt Total % Subcontracted: _Q_ ..... z_~---- BEACH RESTROOM BLINDS; CONT. NO. PKRC11261 Page 5 of 6 DIR Registration No. License No., % of Classification & Total Expiration Date Contract City Attorney Approved 1/25/2019 EXHIBIT B Scope of work: Tracking#: On the westside of Carlsbad Blvd. sidewalk, (between jetties), Scott Fence will install (3) restroom blinds. They are 3 sided, tan vinyl, 8' wide x 8' deep x 8' tall. Opening shall be facing the street. Post and rail inserts are aluminum with vinyl sleeve covers. Aluminum base plate is 8" x 8" x ¼". Base Plates will be installed with ½" stainless steel anchor screws. Blinds will be installed 12-18 inches off seawall. Contractor will provide all material and labor for project. 3 Blinds@ $5,500. Each -Total: $16,500.00 On the westside of Carlsbad Blvd. sidewalk, (s/of warm water jetty), Scott Fence will build one 8' x 8' platform to accommodate a portable restroom unit. Platform will be built with 2 x 4 and 2 x 6 pressure treated lumber -painted grey. Platform will be attached to existing concrete pad with stainless steel fasteners. Deck screws will be stainless steel. -Total: $6,860.00 On the westside of Carlsbad Blvd. sidewalk, (s/of warm water jetty), Scott Fence will install (1) restroom blind. It is 3 sided, tan vinyl, 8' wide x 8' deep x 8' tall. Opening shall be facing the street. Post and rail inserts are aluminum with vinyl sleeve covers. Contractor will provide all material and labor for project. - Total: $5,500.00 Total for Project: $28,860.00 JOB QUOTATION . ~· ' . ITEM ' DESCRIPTION PRICE 1 2 3 NO. (4) 3 Sided 8' Wide, 8' Deep 8' Tall Tan Vinyl Restroom Blinds, Installed w/ Aluminum $22,000.00 Post & Rail Inserts, 8"x 8" x 1/4" Aluminum Base Plates w/ 1/2" Stainless Steel Screw Anchors@ 5,500.00 ea. (1 )8'x 8' Deck, Built w/ 2"x 4" & 2"x 6" Pressure Treated Lumber, Painted Gray, Attached $6,860.00 to Existing Concrete Ramp w/ Stainless Fasteners & Built With Stainless Deck Screws Work Excludes: ***Excludes ANYTHING without a line item on the bid*** • Excludes Mow Curbs, Retaining Walls and ALL Concrete Work Except for Fence & Gate Footings* • Excludes ALL Architectural & Structural Drawings other than Art Renderings* • Excludes Structural Calculations unless line item for such services states on the bid* • Excludes Surveying* • Excludes Pulling Permits* • Excludes Panic Hardware, Knox Equipment, Fire Strobes and ANY other Safley Equipment that does NOT have a line item on this bid that may be required to comply with Government Entities* • Excludes ALL Finishes including Paint, Powder Coat, Stains, etc. unless specified in a line item on the bid* • Excludes Grading and Compaction* • Excludes Gate Hardware and Automation unless in a line item on the bid* • Excludes Electrical Power Source unless addressed with a line item on the bid* • Excludes working overtime unless Premium Time is paid* Total Agreement amount shall not exceed $28,860 $28,860.00 TOTAL* BEACH RESTROOM BLINDS; CONT. NO. PKRC11261 Page 6 of 6 City Attorney Approved 1/25/2019 EXHIBIT C LABOR AND MATERIALS BOND Tracking#: Bond Number: 4434551 Premium: $281.00 WHEREAS, the City Council of the City of Carlsbad, State of California, has awarded to Scott Fence (hereinafter designated as the "Principal"), a Contract for: SCOTT FENCE BEACH RESTROOM BLINDS; CONT. NO. PKRC11261 in the City of Carlsbad, in strict conformity with the drawings and specifications, and other Contract Documents now on file in the Office of the City Clerk of the City of Carlsbad and all of which are incorporated herein by this reference. WHEREAS, Principal has executed or is about to execute said Contract and the terms thereof require the furnishing of a bond, providing that if Principal or any of its subcontractors shall fail to pay for any materials, provisions, provender or other supplies or teams used in, upon or about the performance of the work agreed to be done, or for any work or labor done thereon of any kind, the Surety on this bond will pay the same to the extent hereinafter set forth. NOW, THEREFORE, WE, Scott Fence ' as Principal, (hereinafter designat_e_d_a_s-th-e-"C_o_n_t-ra-c-to-r-")-, _a_n_d"""S .... u_r_e=T=-e-c--=-I n_s_u_r_a_n_c_e--,..C,,_o_m_p_a_n_y __ _ -----,,,,,....------,---,-------,------,----,--.,....--,-as Surety, are held firmly bound unto the City of Carlsbad in the sum of Twenty-eight thousand eight hundred sixty dollars, and 00/100 ______________________ Dollars ($ 28,860 00 ), said sum being an amount equal to: One hundred percent (100%) of the total amount payable under the terms of the Contract by the City of Carlsbad, and for which payment well and truly to be made we bind ourselves, our heirs, executors and administrators, successors, or assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if the Contractor or his/her subcontractors fail to pay for any materials, provisions, provender, supplies, or teams used in, upon, for, or about the performance of the work contracted to be done, or for any other work or labor thereon of any kind, consistent with California Civil Code section 9100, or for amounts due under the Unemployment Insurance Code with respect to the work or labor performed under this Contract, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the contractor and subcontractors pursuant to section 13020 of the Unemployment Insurance Code with respect to the work and labor, that the Surety will pay for the same, and, also, in case suit is brought upon the bond, reasonable attorney's fees, to be fixed by the court consistent with California Civil Code section 9554. This bond shall inure to the benefit of any of the persons named in California Civil Code section 9100, so as to give a right of action to those persons or their assigns in any suit brought upon the bond. Surety stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract, or to the work to be performed hereunder or the specifications accompanying the same shall affect its obligations on this bond, and it does hereby waive notice of any change, extension of time, alterations or addition to the terms of the contract or to the work or to the specifications. BEACH RESTROOM BLINDS; CONT. NO. PKRC11261 Page 7 of 8 City Attorney Approved 1/25/2019 Tracking#: In the event that Contractor is an individual, it is agreed that the death of any such Contractor shall not exonerate the Surety from its obligations under this bond. ~·"" Executed by CONTRACTOR this -~LJ ____ day of :funu Zi~ , 201-D. CONTRACTOR: Scott Fence (name of Contracto~ ~ By: ~%'-JJ• (sign here) .S1°tL~O~ U:~, SG~-r 1 (print name here) (title and organization of signatory) By: ______________ _ (sign here) (print name here) (title and organization of signatory) Executed by SURETY this3=--rd'-------day of January 2020._. SURETY: SureTec Insurance Company (name of Surety) 3131 Camino Del Rio N, Suite 1450, San Diego, Ca 92108 (address of Surety) 619-400-41 00 Gloria S. Becerra (printed name of Attorney-in-Fact) (attach corporate resolution showing current power of attorney) (Proper notarial acknowledgment of execution by CONTRACTOR and SURETY must be attached.) (President or vice-president and secretary or assistant secretary must sign for corporations. If only one officer signs, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering that officer to bind the corporation.) APPROVED AS TO FORM: CELIA A. BREWER City Attorney By: u >i/ ~~City Attor~eyo BEACH RESTROOM BLINDS; CONT. NO. PKRC11261 Page 8 of 8 City Attorney Approved 1/25/2019 POA #: ___ 5_10_0_4_5 __ _ SureTec Insurance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make, constitute and appoint Ron H. Ballard, Gloria S. Becerra, Dave B. Roalkvam, David Melman, Albert Espino, Arianne Adair, Jessica Donaghe, Ruth Alonso, Amanda Harvey, Evan M. DeBow its true and lawful Attorney-in-fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the conditions of contracts and consents of surety for, providing the bond penalty does not exceed Fifty Million and 00/100 Dollars ($50,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO, sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved, that the signature of any .authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20"' of April, 1999.) In Witness Whereof, SURETEC INSURANCE COMP ANY has caused these presents to be signed by its CEO, and its corporate seal to be hereto affixed this 17th c!~.y of January , A.O. 2019. lt~~~ By:-----+-+---=~-------ti:i, w i ~~ John Kno State ofT,,xas ss: ~\ ./. J ~/~ County of Harri~ ····• .. ·:;/ On this 17th 1P.y (lf .January , A.D. 2019 before me personally came John Knox Jr., to me known, who, being by me duly sworn, did depose and say, that he resides iu Houston, Texas, that he is CEO of SURETEC INSURANCE COMP ANY, the company described in and which executed the above instrument; that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said Company; and that he signed his name thereto by like order. Jacq\lelyn G~ry Public My commission expires May 18, 2021 I, M. Brent Beaty, Assistant Secretary of SURETEC INSURANCE COMP ANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Company, which is still in full force and effect; and furthermore, the resolutions of the Board of Directors, set out in the Power of Attorney are in full force and effect. Given under my hand and the seal of said Company at Houston, Texas this ____ _ Any instrument issued In excess of the penalty stated above is totally void and without any validity. For verification of the authority of this power you may call (713) 812-0800 any business day between 8:30 am and 5:00 pm CST. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of -"-S=anc..c....c;;;D....;;.ie=g=o'----------- On January 3, 2020 before me, Jessica Donaghe , Notary Public personally appeared -----------'G.....,,Io"'""n .... ·a...,S,..._.B...,e..,.c..,._er .... r .... a ____________ _ who proved to me on the basis of satisfactory evidence to be the personW whose namefSj iskre subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hts,lherAAei-f authorized capacityfiesj, and that by hts,lherAAei-f signaturefSj on the instrument the personfSj, or the entity upon behalf of which the personW acted, executed the instrument. COMM-~-IDJMY PUIIUC. I a JESSICA DONAGHE 5' ' 9_,_!5!!:!':e''--I 1AN DEOOCOUNTY _. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS mx and and official seal. -1°ignature of Notary OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER 0 INDIVIDUAL 0 CORPORA TE OFFICER 0 PARTNER(S) 0 MEMBER of LLC cgj ATTORNEY-IN-FACT 0 TRUSTEE(S) 0 GUARDIAN/CONSERVATOR OTHER: ------------ SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) SureTec Insurance Company DESCRIPTION OF ATTACHED DOCUMENT Title or Type of Document Number of Pages Date of Document Signer(s) other than named above ~ SCOTFEN-01 SGQI\J7AI 1=7 A C ORD' CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 5/30/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer riqhts to the certificate holder in lieu of such endorsement(s). PRODUCER License # 0757776 i:i9NV.CT J ennifer Kenyon HUB International Insurance Services Inc. r.&NN\ Extl: (858) 255-3258 l Fffc Noi:1951) 231-2572 9855 Scranton Road1 Suite 100 ~:-"1.11!!,, ___ cal.coul@hublnternatlonal.com San Diego, CA 9212 INSURER1S1 AFFORDING COVERAGE NAJC# INSURERA :HDI Global Insurance Com nanv 41343 INSURED INSURER B: National Union Fire Insurance Company of Pittsburgh, PA 19445 Scott Fence dba: Stilson Kent Scott INSURER c: Falls Lake Fire & Casualtv Comnanv 15884 1255 Distribution Way INSURERD : Vista, CA 92081 INSURERE: INSURERF : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~~: TYPE OF INSURANCE ,~.'?.P~ l~~~l POLICY NUMBER POLICYEFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE • 1,000,000 -~ CLAIMS-MADE m OCCUR Q~!,!:'\g_~:r9)~~_E ____ , 100,000 X IG20X000275-01 3/7/2019 3/7/2020 • MED EXP IAtJv ona ··--' • 5,000 -1,000,000 P~R"0N61 & ADV INJURY • -2,000,000 ~'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE • POLICY []] ~IB □ LOC 0 ROOUCTS • COMP"'P AGG • 2,000,000 OTHER: • A AUTOMOBILE LIABILITY ~~~~~./>INGLE LIMIT s 1,000,000 ,__ X ANY AUTO GA20X000509-01 3!7/2019 3/7/2020 BODILY INJURY 'Per---on' . ,__ OWNED -SCHEDULED AUTOS ONLY -AUTOS BODILY INJURY IPer eccidOfltl • -rr..?~~i;:;sAMAGE ~LFW?s ONLY ~m'o~1l~i~ • --• B UMBRELLA UAB ~OCCUR EAr " ~~uRRENCE • 5,000,000 ,__ BE11921858-00 3/7/2019 3/7/2020 5,000,000 X EXCESS UAB ClAIMs-MADE AGGREGATE • ./ DED I X I RETENTION$ 0 • C WORKERS COMPENSATION X I ~~~. = I I 2IH· AND EMPLOYERS' LIABILITY y N FLA005898-02 6/1/2019 6/1/2020 • 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE m N/A E.L. EACH ACCIDENT fl,l'!~~!H¾~,~~rf, EXCLUDED? '" no~-=• SE·,:. EMPLOYEF ~ 1,000,000 grsc:it= ~iPERATJONS below E.L DISEASE. POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Addttlonal Remarks Schedule, may be attachad II more space Is required) RE: Operations of the Named Insured during the current policy term. City of Carlsbad Is Additional Insured with regard to General llabllity when required by written contract per the attached endorsement CG2010 07/04. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Parks & Recreation Administration 799 Pine Ave Suite 200 Carlsbad, CA 92008 AUTHORIZED REPRESE~TATIVE I ~~ ACORD 25 (2016/03) © 1988-2015 A CORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of A CORD POLICY NUMBER: IG20X000275 01 01 CA COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or OrQanizatlon(s): Location(s) Of Covered Operations Blanket as required by written contract and effective Primary Insurance applies: It is agreed that such during the policy period as stated on the policy dee-insurance as is afforded by this policy for the benefit larations. of the additional insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and non- contributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured or its subcontractors, provided however that this insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured's negligence or solely the additional insured's responsibility. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to in- clude as an additional insured the person{s) or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured{s) at the location(s) designated above. B. With respect to the insurance afforded to these addi- tional insureds, the following additional exclusions ap- ply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the pro- ject (other than service, maintenance or repairs) to be performed by or on behalf of the additional in- sured{ s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same pro- ject. CG 20 10 07 04 (Blkt) © ISO Properties, Inc., 2004 Page 1 of 1